IndividualActive
Alexa Ricci, PA-C
NPI 1407496508 · Physician Assistant · Stony Brook, NY
Provider details
- NPI number
- 1407496508
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 023974-01 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 689-8333
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1559
Stony Brook, NY 11790-0989
Registry dates
- Enumerated
- 2020-01-07
- Last updated
- 2020-03-19
- Certified
- 2020-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.